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When compared with urine acetoacetate testing, blood β-hydroxybutyrate determination can reduce the need of admission, shorten the duration of hospital admission and potentially reduce the costs of hospital care.
The AEP criteria were designed to identify patients in need of admission.
That is, the time taken to refer, review, admit and transfer patients in need of admission might take more time than the discharge of patients from ED. Efforts to shorten one or more of these time periods would require concerted efforts to involve inpatient teams and could reduce ED LOS.
The PMEWS score performs well for discerning those patients in need of admission (area under ROC curve 0.944) and triages effectively those in need of higher levels of care before irreversible organ dysfunction is established (area under ROC curve 0.83), whereas CURB-65 achieves comparable areas under the ROC curve of only 0.81 and 0.64 respectively.
The nurse and doctor were asked if they found that the patient was in need of admission to a medical department, and was thus asked to make this decision within a few hours after the patient arrived at the department and before any laboratory results were known.
Similar(55)
PMEWS was a better predictor of need for admission (AUROC 0.944) and need of higher level of care (AUROC 0.83) compared with CURB-65 (AUROCs 0.881 and 0.640 respectively) but was not as good a predictor of subsequent inpatient mortality (AUROC 0.663).
It forms part of a suite of structured professional judgment instruments [ 16] along with the DUNDRUM-2, an instrument for assessing the urgency of need for admission and prioritisation of waiting lists, and two instruments for assessing readiness for movement to less secure places, the DUNDRUM-3 programme completion instrument and the DUNDRUM-4 recovery instrument.
Several studies have already concluded that an EWS can identify patients in need of hospital admission, predict morbidity and mortality, and diminish 'code blue' events as well as admissions into the ICU [[17],[18],[36],[37]].
Outcomes were measured by need of ICU admission and mortality at 7 and 30 days after blood culture.
Additional objectives include the evaluation of vaccination effectiveness against severity outcomes (including death, need of ICU admission or length of stay in hospital).
According to our data, sufficient support of respiratory transition within a few minutes after birth will prevent the need of NICU admission, supporting the need of immediate pediatric expertise after c-section even in a low risk population.
Related(20)
need of acceptance
urgency of admission
need of inclusion
desirability of admission
need of incorporation
need of recruitment
need of hospitalisation
difficulty of admission
requirement of admission
need of qualification
need of recognition
need of access
need of hospitalization
appropriateness of admission
need of income
need of remodeling
need of food
need of hangover
need of refinement
need of oversight
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